Organization Active NPI

Villa Holistic Caregivers, LLC

  • Nursing Care Agency
  • Chicago, IL
National Provider Identifier
1720749856
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
VILLA HOLISTIC CAREGIVERS, LLC
Practice address
4001 W Devon Ave Ste 412
Chicago, IL 60646-4539
Phone
(217) 480-0375
Fax
(708) 320-2883
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mwenya Mulenga, RN
Title
Ceo
Phone
(217) 480-0375

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4001 W Devon Ave Ste 412
Chicago, IL 60646-4539

Mailing address

4001 W Devon Ave Ste 412
Chicago, IL 60646-4539
Phone (217) 480-0375

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1720749856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 412",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464539",
            "telephone_number": "217-480-0375",
            "fax_number": "708-320-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 412",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464539",
            "telephone_number": "217-480-0375",
            "fax_number": "708-320-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA HOLISTIC CAREGIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MULENGA",
        "authorized_official_first_name": "MWENYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-480-0375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.